Organization Active NPI

JP Vandongen, MD, PA

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1932202579
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME73716 Issued in FL
Legal business name
JP VANDONGEN, MD, PA
Practice address
599 9TH St N
#308
Naples, FL 34102-5627
Phone
(239) 643-7888
Fax
(239) 643-4744
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John P Van Dongen, MD
Title
Owner/President
Phone
(239) 643-7888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME73716 FL Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME127276 FL

Addresses

Primary practice location

599 9TH St N
#308
Naples, FL 34102-5627

Mailing address

599 9TH St N
#308
Naples, FL 34102-5627
Phone (239) 643-7888

Other identifiers 3

IdentifierTypeStateIssuer
5727534OtherAETNA
01-90398OtherOHC
255617100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1932202579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 9TH ST N",
            "address_2": "#308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025627",
            "telephone_number": "239-643-7888",
            "fax_number": "239-643-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 9TH ST N",
            "address_2": "#308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025627",
            "telephone_number": "239-643-7888",
            "fax_number": "239-643-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP VANDONGEN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "VAN DONGEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "239-643-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73716",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5727534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHC",
            "identifier": "01-90398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255617100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.